Active NPI
Eye Care Group, PLLC
- Eyewear Supplier
- Ripley, TN
National Provider Identifier
1982633897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- EYE CARE GROUP, PLLC
- Practice address
- 790 Highway 51 N
Ste 24
Ripley, TN 38063-6192 - Phone
- (731) 635-0991
- Fax
- (731) 635-7372
- NPI assigned
- Jul 2, 2006
- Last updated
- May 15, 2008
- Organization subpart
- Yes
- Parent organization
- EYE CARE GROUP, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip Earl Agee, O D
- Title
- Chief Manager
- Phone
- (731) 784-1186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
790 Highway 51 N
Ste 24
Ripley, TN 38063-6192
Mailing address
PO Box 509
Humboldt, TN 38343-0509
Phone (731) 784-1186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105755 | Other | TN | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider Directory- Part of
- Eye Care Group PLLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Eyewear Supplier
- Humboldt, TN
- NPI 1881620169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1982633897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 509",
"city": "HUMBOLDT",
"state": "TN",
"postal_code": "383430509",
"telephone_number": "731-784-1186",
"fax_number": "731-784-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 HIGHWAY 51 N",
"address_2": "STE 24",
"city": "RIPLEY",
"state": "TN",
"postal_code": "380636192",
"telephone_number": "731-635-0991",
"fax_number": "731-635-7372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE GROUP, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EYE CARE GROUP, PLLC",
"enumeration_date": "2006-07-02",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "AGEE",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "CHIEF MANAGER",
"authorized_official_telephone_number": "731-784-1186",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O D"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4105755",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ripley, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.